| NPI | 1851163893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82688) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-137804) |
| 163W00000X Registered Nurse (Licence: MO 2016024460) | |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-11-29 |